San Francisco's Citywide COVID-19 Response: Strategies to Reduce COVID-19 Severity and Health Disparities, March 2020 Through May 2022.

Autor: Sachdev DD; San Francisco Department of Public Health, San Francisco, CA, USA., Petersen M; Divisions of Biostatistics and Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA., Havlir DV; Department of Medicine, University of California, San Francisco, San Francisco, CA, USA., Schwab J; Divisions of Biostatistics and Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA., Enanoria WTA; San Francisco Department of Public Health, San Francisco, CA, USA., Nguyen TQ; San Francisco Department of Public Health, San Francisco, CA, USA., Mercer MP; Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA, USA., Scheer S; San Francisco Department of Public Health, San Francisco, CA, USA., Bennett A; San Francisco Department of Public Health, San Francisco, CA, USA., Tenner AG; San Francisco Department of Public Health, San Francisco, CA, USA., Marks JD; Department of Anesthesia, University of California, San Francisco, San Francisco, CA, USA., Bobba N; San Francisco Department of Public Health, San Francisco, CA, USA., Philip S; San Francisco Department of Public Health, San Francisco, CA, USA., Colfax G; San Francisco Department of Public Health, San Francisco, CA, USA.
Jazyk: angličtina
Zdroj: Public health reports (Washington, D.C. : 1974) [Public Health Rep] 2023 Sep-Oct; Vol. 138 (5), pp. 747-755. Date of Electronic Publication: 2023 Jul 05.
DOI: 10.1177/00333549231181353
Abstrakt: San Francisco implemented one of the most intensive, comprehensive, multipronged COVID-19 pandemic responses in the United States using 4 core strategies: (1) aggressive mitigation measures to protect populations at risk for severe disease, (2) prioritization of resources in neighborhoods highly affected by COVID-19, (3) timely and adaptive data-driven policy making, and (4) leveraging of partnerships and public trust. We collected data to describe programmatic and population-level outcomes. The excess all-cause mortality rate in 2020 in San Francisco was half that seen in 2019 in California as a whole (8% vs 16%). In almost all age and race and ethnicity groups, excess mortality from COVID-19 was lower in San Francisco than in California overall, with markedly diminished excess mortality among people aged >65 years. The COVID-19 response in San Francisco highlights crucial lessons, particularly the importance of community responsiveness, joint planning, and collective action, to inform future pandemic response and advance health equity.
Databáze: MEDLINE